Rosacea
(Acne Rosacea)
The FactsRosacea is a chronic skin condition in which the facial skin appears red. Small red bumps filled with what looks like pus may accompany the skin redness. For this reason, rosacea is sometimes referred to as "adult acne." However, acne and rosacea are 2 separate skin conditions.
Rosacea usually begins in middle age, but it can also affect young adults. People from 30 to 60 years old are most commonly affected. Although women are more often diagnosed with the condition, men are more likely to show severe symptoms. Rosacea is more common in individuals with fair skin.
Without treatment, rosacea can get worse over time. However, early diagnosis and treatment can help prevent this from happening. Rosacea does not endanger a person's physical health, but unfortunately it is a chronic (ongoing) condition and there is currently no known cure for it.
CausesIt is not known what causes rosacea. While genetics likely play a role, alcohol is not a cause. Drinking alcohol may simply cause flushing of the skin in people who already have the condition.
Scientists also point towards other potential factors that may include skin mites, gastrointestinal infection, a blood vessel disorder, and sun damage of the skin. These and other theories are still under investigation.
Symptoms and ComplicationsSymptoms of rosacea include:
- enlarged nose tissue
- flushing of the face (skin may appear red or sunburned - the flushing comes and goes at first, but lasts longer if rosacea gets worse)
- grittiness or burning sensation in the eyes
- red bumps with pus-like areas of the nose, cheeks, forehead, or chin
- small but visible blood vessels on the face
The grittiness of the eyes is also known as ocular rosacea. Approximately 50% of individuals with rosacea also suffer from this condition.
Making the DiagnosisThere is no test for rosacea. Your doctor will examine your skin and ask about your symptoms in order to determine whether you have rosacea.
Treatment and PreventionWhile there is no cure for rosacea, it is possible to manage the symptoms. As rosacea may worsen over time, the condition is less likely to get worse if treated early.
Following a combination of treatment with medication and changes to personal skin care often helps treat rosacea. Doctors may suggest avoiding certain types of moisturizers, soaps, or other skin care products that increase the appearance of redness in the skin.
Medications used to treat rosacea aim to kill bacteria and reduce inflammation and redness. Antibiotics are commonly prescribed in either topical (applied to the skin) or oral (taken by mouth) forms. Anti-inflammatory medications may also be used. Both types of medication take a few weeks before any results are seen. A key component to any treatment is taking medication as prescribed. If the medication(s) prescribed by your regular doctor does not appear to be working, consider seeing a dermatologist.
Laser surgery may reduce or eliminate unsightly blood vessels and some of the other symptoms, but this is a very expensive option. Surgery can reduce rhinophyma, which is the excess tissue that can accumulate on the nose.